EP1849400B1 - Medical tubular assembly - Google Patents

Medical tubular assembly Download PDF

Info

Publication number
EP1849400B1
EP1849400B1 EP07251717A EP07251717A EP1849400B1 EP 1849400 B1 EP1849400 B1 EP 1849400B1 EP 07251717 A EP07251717 A EP 07251717A EP 07251717 A EP07251717 A EP 07251717A EP 1849400 B1 EP1849400 B1 EP 1849400B1
Authority
EP
European Patent Office
Prior art keywords
medical
coilpipes
peripheral
tubular assembly
central
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
EP07251717A
Other languages
German (de)
English (en)
French (fr)
Other versions
EP1849400A1 (en
Inventor
Rudolph H. Nobis
Ifung Lu
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Ethicon Endo Surgery Inc
Original Assignee
Ethicon Endo Surgery Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Ethicon Endo Surgery Inc filed Critical Ethicon Endo Surgery Inc
Publication of EP1849400A1 publication Critical patent/EP1849400A1/en
Application granted granted Critical
Publication of EP1849400B1 publication Critical patent/EP1849400B1/en
Ceased legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Images

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/005—Flexible endoscopes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00064—Constructional details of the endoscope body
    • A61B1/00071—Insertion part of the endoscope body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00166—Multiple lumina

Definitions

  • the present invention is related generally to medical equipment, and more particularly to a medical tubular assembly.
  • Medical tubular assemblies including an insertion tube of a flexible endoscope (such as a colonoscope).
  • the distal end portion of the polymeric insertion tube is endoscopically insertable within a patient.
  • the insertion tube has an articulatable distal end portion controlled by wires running from the distal end portion to control knobs on the handle of the endoscope.
  • a wide angle video camera in the distal end of the insertion tube permits medical observation.
  • Medical devices such as a medical snare or a medical grasper, are part of an endoscopic system and are insertable into the working channel(s) of the insertion tube of the endoscope and are translatable to extend from the distal end portion for medical treatment.
  • WO 97/35135 discloses a device with multiple working channels.
  • the channels are formed from a flexible material, eg by extrusion.
  • Superelastic components such as a superelastic wire, are known.
  • a first expression of an embodiment of the invention is for a medical tubular assembly including four medical coilpipes together having a distal end portion insertable into a patient.
  • the four medical coilpipes include a central coilpipe and three peripheral coilpipes disposed outward of the central coilpipe.
  • the four medical coilpipes are wound from a continuous length of wire.
  • a second expression of an embodiment of the invention is for a medical tubular assembly including four medical coilpipes together having a distal end portion insertable into a patient.
  • the four medical coilpipes include a central coilpipe and three peripheral coilpipes disposed outward of the central coilpipe.
  • the four medical coilpipes are wound from a continuous length of superelastic wire.
  • a third expression of an embodiment of the invention is for a medical tubular assembly including four medical coilpipes together having a distal end portion insertable within a patient.
  • the four medical coilpipes include a central coilpipe and first, second, and third peripheral coilpipes disposed outward of the central coilpipe.
  • the four medical coilpipes consist essentially of a continuous length of wire. One traveling along the wire would make a first loop once around a centerline of the first peripheral coilpipe, then would make a second loop once around a centerline of the second peripheral coilpipe, and then would make a third loop once around a centerline of the third peripheral coilpipe, wherein portions of the traveled wire not including the first, second and third loops would at least partially bound a centerline of the central coilpipe.
  • the medical coilpipe assembly has greater bendability compared to a four lumen polymeric insertion tube of a flexible endoscope.
  • Embodiment 1 A medical tubular assembly comprising four medical coilpipes together having a distal end portion insertable within a patient, wherein the four medical coilpipes include a central coilpipe and three peripheral coilpipes disposed outward of the central coilpipe, and wherein the four medical coilpipes are wound from a continuous length of wire.
  • Embodiment 2 The medical tubular assembly of embodiment 1, wherein the four medical coilpipes are flexible.
  • Embodiment 3 The medical tubular assembly of embodiment 2, wherein each of the central and three peripheral coilpipes has a centerline, and wherein the centerlines of the three peripheral coil pipes are disposed substantially 120 degrees apart from each other about the centerline of the central coilpipe.
  • Embodiment 4 The medical tubular assembly of embodiment 3, wherein the centerlines of the three peripheral coilpipes are disposed a substantially equal distance apart from each other.
  • Embodiment 5 The medical tubular assembly of embodiment 1, wherein the central and three peripheral coilpipes each have coil turns, and wherein longitudinally adjacent coil turns of each of the central and three peripheral coilpipes are spaced apart from each other.
  • Embodiment 6 The medical tubular assembly of embodiment 1, wherein the central coilpipe surrounds a central lumen, and also including a lengthwise translatable medical-end-effector activation cable disposed in the central lumen.
  • Embodiment 7 The medical tubular assembly of embodiment 6, wherein the three peripheral coilpipes each surround a separate peripheral lumen, and also including a separate and lengthwise translatable medical-instrument-member articulation cable disposed in each of the separate peripheral lumens.
  • Embodiment 8 A medical tubular assembly comprising four medical coilpipes together having a distal end portion insertable within a patient, wherein the four medical coilpipes include a central coilpipe and three peripheral coilpipes disposed outward of the central coilpipe, and wherein the four medical coilpipes are wound from a continuous length of superelastic wire.
  • Embodiment 9 The medical tubular assembly of embodiment 8, wherein the distal end portion is endoscopically insertable within a patient.
  • Embodiment 10 The medical tubular assembly of embodiment 9, wherein each of the central and three peripheral coilpipes has a centerline, and wherein the centerlines of the three peripheral coil pipes are disposed substantially 120 degrees apart from each other about the centerline of the central coilpipe.
  • Embodiment 11 The medical tubular assembly of embodiment 10, wherein the centerlines of the three peripheral coilpipes are disposed a substantially equal distance apart from each other.
  • Embodiment 12 The medical tubular assembly of embodiment 8, wherein the central and three peripheral coilpipes each have coil turns, and wherein longitudinally adjacent coil turns of each of the central and three peripheral coilpipes are spaced apart from each other.
  • Embodiment 13 The medical tubular assembly of embodiment 8, wherein the central coilpipe surrounds a lumen adapted to contain a lengthwise translatable medical-end-effector activation cable.
  • Embodiment 14 The medical tubular assembly of embodiment 13, wherein the three peripheral coilpipes each surround a separate lumen adapted to contain a separate and lengthwise translatable medical-instrument-member articulation cable.
  • Embodiment 15 A medical tubular assembly comprising four medical coilpipes together having a distal end portion insertable within a patient, wherein the four medical coilpipes include a central coilpipe and first, second, and third peripheral coilpipes disposed outward of the central coilpipe, wherein the four medical coilpipes consist essentially of a continuous length of monolithic wire, wherein one traveling along the wire would make a first loop once around a centerline of the first peripheral coilpipe, then would make a second loop once around a centerline of the second peripheral coilpipe, and then would make a third loop once around a centerline of the third peripheral coilpipe, and wherein portions of the traveled wire not including the first, second and third loops would at least partially bound a centerline of the central coilpipe.
  • Embodiment 16 The medical tubular assembly of embodiment 15, wherein the wire is a superelastic wire,
  • Embodiment 17 The medical tubular assembly of embodiment 16, wherein the distal end portion is endoscopically insertable within a patient.
  • Embodiment 18 The medical tubular assembly of embodiment 15, wherein the centerlines of the first, second and third peripheral coilpipes are disposed substantially 120 degrees apart from each other about the centerline of the central coilpipe, and wherein the centerlines of the first, second and third peripheral coilpipes are disposed a substantially equal distance apart from each other.
  • Embodiment 19 The medical tubular assembly of embodiment 15, wherein the central and the first, second and third peripheral coilpipes each have coil turns, and wherein longitudinally adjacent coil turns of each of the central and the first, second and third peripheral coilpipes are spaced apart from each other.
  • Embodiment 20 The medical tubular assembly of embodiment 15, wherein the central coilpipe surrounds a lumen adapted to contain a lengthwise translatable medical-end-effector activation cable, and wherein the first, second and third peripheral coilpipes each surround a separate lumen adapted to contain a separate and lengthwise translatable medical-instrument-member articulation cable.
  • the present invention has, without limitation, application in hand-activated instruments as well as in robotic-assisted instruments.
  • FIGURE 1 is a perspective view of a embodiment of the medical tubular assembly of the invention
  • FIGURE 2 is a top elevational view of an explanatory diagram showing the beginning of the winding of the wire into the medical tubular assembly of Figure 1 ;
  • FIGURE 3 is a top elevational view of the medical tubular assembly of Figure 1 with the addition of a medical-end-effector activation cable in the lumen of the central coilpipe and with the addition of a medical-instrument-member articulation cable in the lumen of each of the peripheral coilpipes; and
  • FIGURE 4 is a perspective view of the medical tubular assembly of Figure 1 wherein the medical tubular assembly is shown attached to a distal medical instrument member which is a medical end effector which is a medical grasper.
  • Figures 1-3 illustrate an embodiment of the invention.
  • a first expression of the embodiment of Figures 1-3 is for a medical tubular assembly 10 including four medical coilpipes 12, 14, 16 and 18 together having a distal end portion 20 insertable into a patient.
  • the four medical coilpipes 12, 14, 16 and 18 include a central coilpipe 12 and three peripheral coilpipes 14, 16 and 18 disposed outward of the central coilpipe 12.
  • the four medical coilpipes 12, 14, 16 and 18 are wound from a continuous length of wire 22.
  • the term "wire” includes any elongated member adapted for winding into the four medical coilpipes 12, 14, 16 and 18.
  • the wire comprises, consists essentially of, or consists of nitinol.
  • each of the four medical coilpipes 12, 14, 16 and 18 is not limited to a circular structure when viewed on end (as in Figures 2-3 ).
  • the central coilpipe 12 has a substantially triangular shape when viewed on end (as seen in Figures 2-3 ), and each of the three peripheral coilpipes 14, 16 and 18 has a teardrop shape when viewed on end (as seen in Figures 2-3 ).
  • Other examples of coilpipe shapes when viewed on end are left to the artisan.
  • the four medical coilpipes 12, 14, 16 and 18 consist essentially of the continuous length of wire 22. In one variation, the four medical coilpipes 12, 14, 16 and 18 consist of the continuous length of wire 22.
  • the wire is a braided wire.
  • the wire 22 is a monolithic wire.
  • the wire includes two (or more) wire segments with adjacent segments lengthwise joined together (i.e., one end of one segment is joined to one end of another segment). Other examples of a continuous length of wire are left to the artisan.
  • an example of four medical coilpipes wound from non-continuous lengths of wire include a first peripheral coilpipe wound from a first continuous length of wire, a second peripheral coilpipe wound from a second continuous length of wire, a third peripheral coilpipe wound from a third continuous length of wire, and a central coilpipe wound from a fourth continuous length of wire, wherein none of the four lengths of wire are lengthwise joined to any other of the four lengths of wire.
  • each of the central and three peripheral coilpipes 12, 14, 16 and 18 has a centerline 24, 26, 28 and 30 (seen on end as a point in Figure 2 ) and wherein the centerlines 26, 28 and 30 of the three peripheral coilpipes 14, 16 and 18 are disposed substantially 120 degrees apart from each other about the centerline 24 of the central coilpipe 12.
  • the centerlines 26, 28 and 30 of the three peripheral coilpipes 14, 16 and 18 are disposed a substantially equal distance apart from each other.
  • the central and three peripheral coilpipes 12, 14, 16 and 18 each have coil turns 32, and longitudinally adjacent coil turns 32 of each of the central and three peripheral coilpipes 12, 14, 16 and 18 are spaced apart from each other (as seen in Figure 1 ).
  • the central coilpipe 12 surrounds a central lumen 34
  • the medical tubular assembly 10 also includes a lengthwise translatable medical-end-effector activation cable 36 disposed in the central lumen 34.
  • the three peripheral coilpipes 14, 16 and 18 each surround a separate peripheral lumen 38, 40 and 42
  • the medical tubular assembly 10 also includes a separate and lengthwise translatable medical-instrument-member articulation cable 44, 46 or 48 disposed in each of the separate peripheral lumens 38, 40 and 42. It is noted that the activation cable 36 and the articulation cables 44, 46 and 48 are seen on end in Figure 3 .
  • the term "cable" includes any flexible elongated member.
  • the wire 22 consists essentially of stainless steel. In another choice of materials, the wire 22 consists essentially of a superelastic wire such as nitinol.
  • a second expression of the embodiment of Figures 1-3 is identical to the previously-described first expression of the embodiment of Figures 1-3 except that the wire 22 of the first expression is limited to a superelastic wire in the second expression. It is noted that the implementations, examples, constructions, etc. of the first expression of the embodiment of Figures 1-3 is equally applicable to the second expression of the embodiment of Figures 1-3 .
  • a third expression of the embodiment of Figures 1-3 is for a medical tubular assembly 10 including four medical coilpipes 12, 14, 16 and 18 together having a distal end portion 20 insertable within a patient.
  • the four medical coilpipes 12, 14, 16 and 18 include a central coilpipe 12 and first, second, and third peripheral coilpipes 14, 16 and 18 disposed outward of the central coilpipe 12.
  • the four medical coilpipes 12, 14, 16 and 18 consist essentially of a continuous length of wire 22.
  • one traveling along the wire 22 would make a first loop 50 once around a centerline 26 of the first peripheral coilpipe 14, then would make a second loop 52 once around a centerline 28 of the second peripheral coilpipe 16, and then would make a third loop 54 once around a centerline 30 of the third peripheral coilpipe 18, wherein portions 56, 58 and 60 of the traveled wire not including the first, second and third loops 50, 52 and 54 would at least partially bound a centerline 24 of the central coilpipe 12.
  • the wire 22 is wound, as seen in Figure 2 , from a starting point 62 in the direction of the arrows to a point 64. Thereafter, the wire 22 is wound (not shown in Figure 2 but seen in Figure 1 ) to repeatedly trace over and above the path shown in Figure 2 to create the four coilpipes 12, 14, 16 and 18 as seen in Figure 1 .
  • a mandrel (not shown) is disposed at the location of each lumen 34, 38, 40 and 42 to assist in winding the wire 22 into the shape of the medical tubular assembly 10.
  • a computer numerical control (CNC) coil winding machine should be able to be employed to wind the wire 22 into the shape of the medical tubular assembly 10 without the assistance of mandrels.
  • the medical tubular assembly 10 comprises exactly four medical coilpipes 12, 14, 16 and 18.
  • the medical tubular assembly comprises exactly five medical coilpipes including a central substantially rectangular or square coilpipe and four peripheral coilpipes appearing as loops at the corners of the rectangle or square. Extensions to six or more medical coilpipes including a central polygon coilpipe and peripheral coilpipes appearing as loops at the corners of the polygon are left to those skilled in the art.
  • the medical tubular assembly 10 (such as the distal end portion 20 thereof) is connected to a distal medical instrument member 66.
  • the example of the distal medical instrument member 66 shown in Figure 4 is a medical end effector in the form of a medical grasper. Other types of medical end effectors are left to the artisan.
  • the medical tubular assembly 10 (such as a proximal end portion 70 thereof) is connected to a proximal medical instrument member 68.
  • the proximal medical instrument member 68 is a fitting in the form of an end cap attached to a flexible tube 72 having separate lumens (not shown) for each of the activation and articulation cables.
  • the proximal medical instrument member is an end portion of the tube 72.
  • the distal medical instrument member 66 is disposed distal of the proximal medical instrument member 68.
  • Figure 4 shows the central coilpipe 12 surrounding the activation cable 36, the first peripheral coilpipe 14 surrounding articulation cable 44, and the second peripheral coilpipe 16 surrounding articulation cable 46.
  • the activation cable would be attached to the jaw opening and closing mechanism of the medical grasper.
  • the articulation cables 44 and 46 are shown attached to the medical grasper to articulate the distal medical instrument member 66 (in this example a medical grasper) with respect to the proximal medical instrument member 68.
  • the medical tubular assembly 10 is surrounded by a flexible sheath.
  • the medical tubular assembly 10 (such as the distal end portion 20 thereof) is connected to a distal medical instrument member 166.
  • the example of the distal medical instrument member 166 shown in Figure 4 is a coupling from a lumen 176 of which a medical end effector 178 is extended for medical treatment by moving the activation cable 136.
  • An example of the medical end effector 178 is a medical snare.
  • Other examples are left to the artisan.
  • the medical instrument 174 of Figure 5 is otherwise identical to the medical instrument 74 of Figure 4 .
  • Other deployments of the medical tubular assembly 10 are left to those skilled in the art.
  • the medical tube assembly 10 is inserted into a working channel of a flexible insertion tube of an endoscope, wherein the medical end effector can be articulated with respect to the insertion tube of the endoscope allowing independent alignment of the wide angle video camera of the endoscope and the medical end effector.
  • the medical tube assembly 10 has a tube-to-endoscope-rail coupling feature allowing the medical tube assembly to be coupled to, and slid along, an exterior rail of a flexible insertion tube of an endoscope allowing independent alignment of the wide angle video camera of the endoscope and the medical end effector.
  • Other illustrations are left to those skilled in the art.
  • the medical coilpipe assembly has greater bendability compared to a four lumen polymeric insertion tube of a flexible endoscope.

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Biomedical Technology (AREA)
  • Medical Informatics (AREA)
  • Optics & Photonics (AREA)
  • Pathology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Biophysics (AREA)
  • Engineering & Computer Science (AREA)
  • Physics & Mathematics (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)
  • Endoscopes (AREA)
EP07251717A 2006-04-25 2007-04-24 Medical tubular assembly Ceased EP1849400B1 (en)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
US11/411,195 US7837620B2 (en) 2006-04-25 2006-04-25 Medical tubular assembly

Publications (2)

Publication Number Publication Date
EP1849400A1 EP1849400A1 (en) 2007-10-31
EP1849400B1 true EP1849400B1 (en) 2009-07-29

Family

ID=38164561

Family Applications (1)

Application Number Title Priority Date Filing Date
EP07251717A Ceased EP1849400B1 (en) 2006-04-25 2007-04-24 Medical tubular assembly

Country Status (7)

Country Link
US (1) US7837620B2 (ja)
EP (1) EP1849400B1 (ja)
JP (1) JP5202867B2 (ja)
CN (1) CN101061943B (ja)
AU (1) AU2007201563B2 (ja)
CA (1) CA2585787C (ja)
DE (1) DE602007001713D1 (ja)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8419720B1 (en) 2012-02-07 2013-04-16 National Advanced Endoscopy Devices, Incorporated Flexible laparoscopic device

Families Citing this family (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8663221B2 (en) * 2007-06-08 2014-03-04 Olympus Medical Systems Corp. Endoscopic treatment tool
US20110090331A1 (en) * 2009-10-15 2011-04-21 Perceptron, Inc. Articulating imager for video borescope
DE102010034380A1 (de) 2010-08-13 2012-02-16 Karl Storz Gmbh & Co. Kg Gelenkabschnitt eines Endoskopschafts
EP2819603B1 (en) * 2012-02-29 2021-11-03 Boston Scientific Scimed, Inc. Electrosurgical device and system
US9636241B2 (en) * 2012-03-30 2017-05-02 Manli International Ltd Coil bioabsorbable stents
DE102014204784A1 (de) * 2014-03-14 2015-09-17 Olympus Winter & Ibe Gmbh Endoskop mit distaler elektrischer Durchführung und Verfahren zur Montage eines Endoskops
US10348941B2 (en) 2014-07-30 2019-07-09 Karl Storz Endovision, Inc. Durable flexible circuit assembly
EP3305163A4 (en) * 2015-05-28 2019-02-06 Olympus Corporation SHEET ELEMENT, HANDLER AND HANDLER SYSTEM

Family Cites Families (137)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3470876A (en) * 1966-09-28 1969-10-07 John Barchilon Dirigible catheter
US3521620A (en) * 1967-10-30 1970-07-28 William A Cook Vascular coil spring guide with bendable tip
DE2160466A1 (de) * 1970-12-05 1972-06-22 Olympus Optical Co. Ltd., Tokio Exzisions-Zange
US3799151A (en) * 1970-12-21 1974-03-26 Olympus Optical Co Controllably bendable tube of an endoscope
DE2132808C3 (de) * 1971-07-01 1981-10-29 Deyhle, Peter, Dr.med., 8520 Erlangen Vorrichtung zum diathermischen Abtragen von Wucherungen
US4294254A (en) 1977-12-08 1981-10-13 Chamness Dale L Surgical apparatus
US4326530A (en) * 1980-03-05 1982-04-27 Fleury Jr George J Surgical snare
US4493320A (en) * 1982-04-02 1985-01-15 Treat Michael R Bipolar electrocautery surgical snare
JPS6176147A (ja) * 1984-09-21 1986-04-18 オリンパス光学工業株式会社 高周波切開切除具
US5066295A (en) * 1986-05-13 1991-11-19 Mill-Rose Laboratories, Inc. Rotatable surgical snare
US4735194C1 (en) * 1987-01-13 2001-05-08 Dept Of Veterans Affairs The U Flexile endoscopic ligating instrument
US4963147A (en) * 1987-09-18 1990-10-16 John M. Agee Surgical instrument
US4893613A (en) * 1987-11-25 1990-01-16 Hake Lawrence W Endoscope construction with means for controlling rigidity and curvature of flexible endoscope tube
US4890602A (en) * 1987-11-25 1990-01-02 Hake Lawrence W Endoscope construction with means for controlling rigidity and curvature of flexible endoscope tube
DE69020795T2 (de) 1989-05-12 1995-11-30 Machida Endoscope Co Ltd Krümmungssteuerungsanordnung und die Struktur einer biegsamen Tube.
JP2864465B2 (ja) * 1989-08-22 1999-03-03 株式会社町田製作所 湾曲操作装置用アングル
US5002041A (en) 1989-05-12 1991-03-26 Kabushiki Kaisha Machida Seisakusho Bending device and flexible tube structure
JP2875583B2 (ja) * 1989-05-12 1999-03-31 株式会社町田製作所 湾曲操作装置用湾曲部
JP2864467B2 (ja) * 1990-03-14 1999-03-03 株式会社町田製作所 軟性管
US5035696A (en) * 1990-02-02 1991-07-30 Everest Medical Corporation Electrosurgical instrument for conducting endoscopic retrograde sphincterotomy
US5254088A (en) * 1990-02-02 1993-10-19 Ep Technologies, Inc. Catheter steering mechanism
US5152744A (en) * 1990-02-07 1992-10-06 Smith & Nephew Dyonics Surgical instrument
JP2595363B2 (ja) * 1990-03-03 1997-04-02 株式会社ブリヂストン タイヤ用ホイール
US5078716A (en) * 1990-05-11 1992-01-07 Doll Larry F Electrosurgical apparatus for resecting abnormal protruding growth
US5171314A (en) 1990-07-24 1992-12-15 Andrew Surgical, Inc. Surgical snare
US5201741A (en) * 1990-07-24 1993-04-13 Andrew Surgical, Inc. Surgical snare with shape memory effect wire
US5531664A (en) * 1990-12-26 1996-07-02 Olympus Optical Co., Ltd. Bending actuator having a coil sheath with a fixed distal end and a free proximal end
US5409453A (en) 1992-08-12 1995-04-25 Vidamed, Inc. Steerable medical probe with stylets
US5433721A (en) * 1992-01-17 1995-07-18 Ethicon, Inc. Endoscopic instrument having a torsionally stiff drive shaft for applying fasteners to tissue
US5201732A (en) * 1992-04-09 1993-04-13 Everest Medical Corporation Bipolar sphincterotomy utilizing side-by-side parallel wires
AU4026793A (en) * 1992-04-10 1993-11-18 Cardiorhythm Shapable handle for steerable electrode catheter
US5522829A (en) * 1992-04-16 1996-06-04 Arthur D. Little Enterprises, Inc. Surgical cutting instrument
US5250060A (en) * 1992-06-26 1993-10-05 Carbo Paul L Angioplasty apparatus
US5482029A (en) * 1992-06-26 1996-01-09 Kabushiki Kaisha Toshiba Variable flexibility endoscope system
US5342299A (en) * 1992-07-06 1994-08-30 Catheter Imaging Systems Steerable catheter
US5776080A (en) * 1992-08-12 1998-07-07 Scimed Life Systems, Inc. Shaft movement control apparatus
US5293869A (en) * 1992-09-25 1994-03-15 Ep Technologies, Inc. Cardiac probe with dynamic support for maintaining constant surface contact during heart systole and diastole
US5346504A (en) * 1992-11-19 1994-09-13 Ethicon, Inc. Intraluminal manipulator with a head having articulating links
US5353807A (en) * 1992-12-07 1994-10-11 Demarco Thomas J Magnetically guidable intubation device
US5431671A (en) * 1993-05-28 1995-07-11 Nallakrishnan; Ravi Surgical knife with retractable and angularly adjustable blade
DE4323585A1 (de) * 1993-07-14 1995-01-19 Delma Elektro Med App Bipolares Hochfrequenz-Chirurgieinstrument
US5792165A (en) * 1993-07-21 1998-08-11 Charles H. Klieman Endoscopic instrument with detachable end effector
DE4408730A1 (de) 1994-03-15 1995-09-21 Daum Gmbh Steuerbarer Instrumentenkanal
US5542948A (en) * 1994-05-24 1996-08-06 Arrow Precision Products, Inc. Surgical combination inject and snare apparatus
US5454827A (en) * 1994-05-24 1995-10-03 Aust; Gilbert M. Surgical instrument
US5706827A (en) * 1994-09-21 1998-01-13 Scimed Life Systems, Inc. Magnetic lumen catheter
US5836947A (en) * 1994-10-07 1998-11-17 Ep Technologies, Inc. Flexible structures having movable splines for supporting electrode elements
US6071274A (en) * 1996-12-19 2000-06-06 Ep Technologies, Inc. Loop structures for supporting multiple electrode elements
US5810715A (en) * 1995-09-29 1998-09-22 Olympus Optical Co., Ltd. Endoscope provided with function of being locked to flexibility of insertion part which is set by flexibility modifying operation member
US5749828A (en) * 1995-12-22 1998-05-12 Hewlett-Packard Company Bending neck for use with invasive medical devices
DE69738869D1 (de) * 1996-01-11 2008-09-11 Symbiosis Corp Flexible mikrochirurgische instrumente mit einer ummantelung die visuelle und tastbare positionsindikatoren aufweist
US6036687A (en) * 1996-03-05 2000-03-14 Vnus Medical Technologies, Inc. Method and apparatus for treating venous insufficiency
WO1997035135A1 (en) * 1996-03-19 1997-09-25 The Morgan Crucible Company Plc. A conduit
US5752961A (en) * 1996-03-25 1998-05-19 The University Of Kentucky Research Foundation Angled snare assembly
US6152918A (en) * 1996-04-05 2000-11-28 Eclipse Surgical Technologies, Inc. Laser device with auto-piercing tip for myocardial revascularization procedures
US5810807A (en) * 1996-05-22 1998-09-22 Ganz; Robert A. Sphincterotome with deflectable cutting plane and method of using the same
US6371907B1 (en) * 1996-11-18 2002-04-16 Olympus Optical Co., Ltd. Endoscope apparatus driving manipulation wires with drive motor in drum portion
US5897554A (en) * 1997-03-01 1999-04-27 Irvine Biomedical, Inc. Steerable catheter having a loop electrode
DE19729499A1 (de) 1997-07-10 1999-01-14 Friedrich Schiller Uni Jena Bu Vorrichtung zum Erleichtern der Vorschubbewegung von flexiblen Endoskopen
US6401719B1 (en) 1997-09-11 2002-06-11 Vnus Medical Technologies, Inc. Method of ligating hollow anatomical structures
US5972012A (en) * 1997-10-17 1999-10-26 Angiotrax, Inc. Cutting apparatus having articulable tip
US6917834B2 (en) 1997-12-03 2005-07-12 Boston Scientific Scimed, Inc. Devices and methods for creating lesions in endocardial and surrounding tissue to isolate focal arrhythmia substrates
US6093185A (en) * 1998-03-05 2000-07-25 Scimed Life Systems, Inc. Expandable PMR device and method
US6066102A (en) * 1998-03-09 2000-05-23 Spectrascience, Inc. Optical biopsy forceps system and method of diagnosing tissue
US6558415B2 (en) * 1998-03-27 2003-05-06 Intratherapeutics, Inc. Stent
JP4151920B2 (ja) * 1998-04-03 2008-09-17 Ｈｏｙａ株式会社 内視鏡用処置具
JP3919947B2 (ja) * 1998-07-09 2007-05-30 アルフレッサファーマ株式会社 マイクロ波手術用電極装置
US6352503B1 (en) * 1998-07-17 2002-03-05 Olympus Optical Co., Ltd. Endoscopic surgery apparatus
US6074408A (en) * 1998-10-13 2000-06-13 Freeman; Kenneth V. Modular medical instrument and method of using same
JP3634644B2 (ja) * 1998-10-29 2005-03-30 ペンタックス株式会社 内視鏡用処置具の操作部
US6475222B1 (en) 1998-11-06 2002-11-05 St. Jude Medical Atg, Inc. Minimally invasive revascularization apparatus and methods
US6162209A (en) * 1998-11-17 2000-12-19 Scimed Life Systems, Inc. Multi-function surgical instrument tool actuator assembly
US6174280B1 (en) * 1998-11-19 2001-01-16 Vision Sciences, Inc. Sheath for protecting and altering the bending characteristics of a flexible endoscope
US6190382B1 (en) 1998-12-14 2001-02-20 Medwaves, Inc. Radio-frequency based catheter system for ablation of body tissues
US6203494B1 (en) * 1999-03-02 2001-03-20 Olympus Optical Co., Ltd. Endoscope capable of varying hardness of flexible part of insertion unit thereof
US20040044350A1 (en) * 1999-04-09 2004-03-04 Evalve, Inc. Steerable access sheath and methods of use
DE59900101D1 (de) 1999-04-29 2001-06-28 Storz Karl Gmbh & Co Kg Medizinisches Instrument zum Präparieren von Gewebe
US6482149B1 (en) 1999-05-12 2002-11-19 Fuji Photo Optical Co., Ltd. Curved part of endoscope
US6375635B1 (en) 1999-05-18 2002-04-23 Hydrocision, Inc. Fluid jet surgical instruments
US6488658B1 (en) 1999-06-29 2002-12-03 Ethicon Endo-Surgery, Inc. Method of treating the inner lining of an organ using a bipolar electrosurgical instrument including a plurality of balloon electrodes
GB2352636B (en) * 1999-08-03 2003-05-14 Univ College London Hospitals Improved passage-travelling device
EP1235522B1 (de) 1999-09-09 2007-05-30 Tuebingen Scientific Medical GmbH Chirurgisches instrument für minimal invasive eingriffe
JP3651329B2 (ja) * 1999-09-30 2005-05-25 フジノン株式会社 内視鏡のアングル部
JP2001124122A (ja) * 1999-10-26 2001-05-08 Mitsubishi Cable Ind Ltd コイルアクチュエータ及び首振構造体
US6450948B1 (en) * 1999-11-02 2002-09-17 Vista Medical Technologies, Inc. Deflecting tip for surgical cannula
US6423059B1 (en) * 1999-11-16 2002-07-23 Sulzer Medica Usa Inc. Radio frequency ablation apparatus with remotely articulating and self-locking electrode wand
US6699179B2 (en) * 2000-01-27 2004-03-02 Scimed Life Systems, Inc. Catheter introducer system for exploration of body cavities
US6612992B1 (en) * 2000-03-02 2003-09-02 Acuson Corp Medical diagnostic ultrasound catheter and method for position determination
US6800056B2 (en) * 2000-04-03 2004-10-05 Neoguide Systems, Inc. Endoscope with guiding apparatus
US6858005B2 (en) * 2000-04-03 2005-02-22 Neo Guide Systems, Inc. Tendon-driven endoscope and methods of insertion
US6395001B1 (en) * 2000-04-10 2002-05-28 Health Care Technologies, Llc Electrosurgical electrode for wedge resection
US6530897B2 (en) 2000-04-28 2003-03-11 Mahase Nardeo Steerable medical catheter with bendable encapsulated metal spring tip fused to polymeric shaft
US6443944B1 (en) * 2000-05-19 2002-09-03 Rajiv Doshi Surgical devices comprising articulated members and methods for using the same
DE10026847A1 (de) * 2000-05-31 2002-01-10 Engelbert Gmeilbauer Werkzeug zum Spannen bzw. Lösen/Öffnen von Feder-Klemmelementen
US6717092B2 (en) * 2000-08-11 2004-04-06 Pentax Corporation Method of manufacturing treatment instrument of endoscope
US6569105B1 (en) * 2000-09-14 2003-05-27 Syntheon, Llc Rotatable and deflectable biopsy forceps
US6716226B2 (en) * 2001-06-25 2004-04-06 Inscope Development, Llc Surgical clip
US6579300B2 (en) * 2001-01-18 2003-06-17 Scimed Life Systems, Inc. Steerable sphincterotome and methods for cannulation, papillotomy and sphincterotomy
US7118587B2 (en) * 2001-04-06 2006-10-10 Sherwood Services Ag Vessel sealer and divider
US20030208219A1 (en) 2001-05-18 2003-11-06 Aznoian Harold M. Steerable biliary catheter
US6837884B2 (en) * 2001-06-18 2005-01-04 Arthrocare Corporation Electrosurgical apparatus having compound return electrode
US6764441B2 (en) * 2001-09-17 2004-07-20 Case Western Reserve University Peristaltically self-propelled endoscopic device
JP5073895B2 (ja) * 2001-09-25 2012-11-14 オリンパス株式会社 内視鏡用処置具
US6616661B2 (en) * 2001-09-28 2003-09-09 Ethicon, Inc. Surgical device for clamping, ligating, and severing tissue
US6602267B2 (en) * 2001-10-17 2003-08-05 Medcanica, Inc. Articulable and reciprocable surgical knife
US20030093031A1 (en) 2001-11-09 2003-05-15 Long Gary L. Self-propelled, intraluminal device with medical agent applicator and method of use
US20030153866A1 (en) * 2001-11-09 2003-08-14 Long Gary L. Self-propelled, intraluminal device with hollow, cylindrical head and method of use
US6866626B2 (en) * 2001-11-09 2005-03-15 Ethicon-Endo Surgery, Inc. Self-propelled, intraluminal device with working channel and method of use
US20030125788A1 (en) * 2001-11-09 2003-07-03 Long Gary L. Self-propelled, intraluminal device with electrode configuration and method of use
US7037307B2 (en) * 2001-12-07 2006-05-02 Dennis William G Automatically deforming surgical snare
US6730097B2 (en) * 2001-12-07 2004-05-04 William G. Dennis Surgical snare with steering tether and method of using same
DE10209986B4 (de) 2002-03-07 2004-07-29 Stm Medizintechnik Starnberg Gmbh Endoskopschaft mit beweglichem Endabschnitt
US7060025B2 (en) 2002-03-15 2006-06-13 Ethicon Endo-Surgery, Inc. Method for controlling position of medical instruments
US7060024B2 (en) 2002-03-15 2006-06-13 Ethicon Endo-Surgery, Inc. Apparatus for guiding an instrument used with an endoscope
US20040193016A1 (en) * 2002-06-17 2004-09-30 Thomas Root Endoscopic delivery system for the non-destructive testing and evaluation of remote flaws
US6679836B2 (en) 2002-06-21 2004-01-20 Scimed Life Systems, Inc. Universal programmable guide catheter
US6863668B2 (en) * 2002-08-16 2005-03-08 Edwards Lifesciences Corporation Articulation mechanism for medical devices
JP2004073582A (ja) * 2002-08-20 2004-03-11 Olympus Corp 生体組織切除具
JP2004154164A (ja) 2002-11-01 2004-06-03 Mizuho Co Ltd 多自由度型処置具
JP3965108B2 (ja) * 2002-11-29 2007-08-29 オリンパス株式会社 内視鏡の可撓管
US7431694B2 (en) 2003-05-16 2008-10-07 Ethicon Endo-Surgery, Inc. Method of guiding medical devices
US7066879B2 (en) * 2003-07-15 2006-06-27 The Trustees Of Columbia University In The City Of New York Insertable device and system for minimal access procedure
US20050137614A1 (en) 2003-10-08 2005-06-23 Porter Christopher H. System and method for connecting implanted conduits
WO2005044094A1 (ja) * 2003-11-11 2005-05-19 Olympus Corporation カプセル型医療装置システム、及びカプセル型医療装置
US7412993B2 (en) * 2004-03-09 2008-08-19 George Tzong-Chyi Tzeng Expandable stent
WO2005094665A2 (en) 2004-03-23 2005-10-13 Boston Scientific Limited In-vivo visualization system
EP1584300A3 (en) * 2004-03-30 2006-07-05 Kabushiki Kaisha Toshiba Manipulator apparatus
US8512229B2 (en) * 2004-04-14 2013-08-20 Usgi Medical Inc. Method and apparatus for obtaining endoluminal access
WO2005113051A2 (en) 2004-05-14 2005-12-01 Ethicon Endo-Surgery, Inc. Medical instrument having a medical guidewire
US7678117B2 (en) 2004-06-07 2010-03-16 Novare Surgical Systems, Inc. Articulating mechanism with flex-hinged links
US7828808B2 (en) 2004-06-07 2010-11-09 Novare Surgical Systems, Inc. Link systems and articulation mechanisms for remote manipulation of surgical or diagnostic tools
US7311674B2 (en) * 2004-06-28 2007-12-25 Scimed Life Systems, Inc. End effector assembly cap and tissue removal device and related methods
NL1026884C2 (nl) 2004-08-19 2006-02-21 Univ Delft Tech Instrument omvattende een kabel of slang voorzien van een voortstuwingsorgaan.
US7347868B2 (en) 2004-10-26 2008-03-25 Baronova, Inc. Medical device delivery catheter
EP1885259B1 (en) 2005-05-11 2016-08-17 Mayo Foundation For Medical Education And Research Apparatus for internal surgical procedures
US20070225562A1 (en) * 2006-03-23 2007-09-27 Ethicon Endo-Surgery, Inc. Articulating endoscopic accessory channel
US9138250B2 (en) 2006-04-24 2015-09-22 Ethicon Endo-Surgery, Inc. Medical instrument handle and medical instrument having a handle

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8419720B1 (en) 2012-02-07 2013-04-16 National Advanced Endoscopy Devices, Incorporated Flexible laparoscopic device

Also Published As

Publication number Publication date
CN101061943A (zh) 2007-10-31
AU2007201563A1 (en) 2007-11-08
CA2585787C (en) 2014-08-05
US7837620B2 (en) 2010-11-23
CA2585787A1 (en) 2007-10-25
JP5202867B2 (ja) 2013-06-05
AU2007201563B2 (en) 2012-04-05
EP1849400A1 (en) 2007-10-31
CN101061943B (zh) 2011-02-09
DE602007001713D1 (de) 2009-09-10
JP2007289710A (ja) 2007-11-08
US20070249905A1 (en) 2007-10-25

Similar Documents

Publication Publication Date Title
EP1849400B1 (en) Medical tubular assembly
US7927327B2 (en) Medical instrument having an articulatable end effector
JP5349763B2 (ja) 医療用カニューレおよび医療用カニューレシステム
EP1849421B1 (en) Medical instrument handle and medical instrument having a handle
EP2901959B1 (en) Flexible wrist for surgical tool
US7862554B2 (en) Articulating tool with improved tension member system
US8211114B2 (en) Medical instrument having a medical snare
JP5349761B2 (ja) 取付器具および内視鏡システム
US20120197239A1 (en) Endoscopic medical device with articulating joints
US20110092766A1 (en) Tapered lumens for multi-lumen sleeves used in endoscopic procedures
EP1849426A2 (en) Medical instrument having a medical needle-knife
JP5191685B2 (ja) エンド・エフェクター関連部材を有する医療器具
EP4223204A1 (en) Antitwist mechanism for robotic endoscope camera
CN116889430A (zh) 具有反枢转机构的器械

Legal Events

Date Code Title Description
PUAI Public reference made under article 153(3) epc to a published international application that has entered the european phase

Free format text: ORIGINAL CODE: 0009012

AK Designated contracting states

Kind code of ref document: A1

Designated state(s): AT BE BG CH CY CZ DE DK EE ES FI FR GB GR HU IE IS IT LI LT LU LV MC MT NL PL PT RO SE SI SK TR

AX Request for extension of the european patent

Extension state: AL BA HR MK YU

17P Request for examination filed

Effective date: 20080430

17Q First examination report despatched

Effective date: 20080603

AKX Designation fees paid

Designated state(s): DE ES FR GB IT

RIN1 Information on inventor provided before grant (corrected)

Inventor name: NOBIS, RUDOLPH H.

Inventor name: LU, IFUNG

GRAP Despatch of communication of intention to grant a patent

Free format text: ORIGINAL CODE: EPIDOSNIGR1

GRAS Grant fee paid

Free format text: ORIGINAL CODE: EPIDOSNIGR3

GRAA (expected) grant

Free format text: ORIGINAL CODE: 0009210

AK Designated contracting states

Kind code of ref document: B1

Designated state(s): DE ES FR GB IT

REG Reference to a national code

Ref country code: GB

Ref legal event code: FG4D

REF Corresponds to:

Ref document number: 602007001713

Country of ref document: DE

Date of ref document: 20090910

Kind code of ref document: P

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: ES

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20091109

PLBE No opposition filed within time limit

Free format text: ORIGINAL CODE: 0009261

STAA Information on the status of an ep patent application or granted ep patent

Free format text: STATUS: NO OPPOSITION FILED WITHIN TIME LIMIT

26N No opposition filed

Effective date: 20100503

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: IT

Free format text: LAPSE BECAUSE OF NON-PAYMENT OF DUE FEES

Effective date: 20100424

REG Reference to a national code

Ref country code: FR

Ref legal event code: PLFP

Year of fee payment: 10

REG Reference to a national code

Ref country code: FR

Ref legal event code: PLFP

Year of fee payment: 11

REG Reference to a national code

Ref country code: FR

Ref legal event code: PLFP

Year of fee payment: 12

PGFP Annual fee paid to national office [announced via postgrant information from national office to epo]

Ref country code: DE

Payment date: 20190410

Year of fee payment: 13

REG Reference to a national code

Ref country code: DE

Ref legal event code: R119

Ref document number: 602007001713

Country of ref document: DE

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: DE

Free format text: LAPSE BECAUSE OF NON-PAYMENT OF DUE FEES

Effective date: 20201103

PGFP Annual fee paid to national office [announced via postgrant information from national office to epo]

Ref country code: GB

Payment date: 20220303

Year of fee payment: 16

PGFP Annual fee paid to national office [announced via postgrant information from national office to epo]

Ref country code: IT

Payment date: 20220310

Year of fee payment: 16

Ref country code: FR

Payment date: 20220308

Year of fee payment: 16

GBPC Gb: european patent ceased through non-payment of renewal fee

Effective date: 20230424

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: GB

Free format text: LAPSE BECAUSE OF NON-PAYMENT OF DUE FEES

Effective date: 20230424

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: GB

Free format text: LAPSE BECAUSE OF NON-PAYMENT OF DUE FEES

Effective date: 20230424

Ref country code: FR

Free format text: LAPSE BECAUSE OF NON-PAYMENT OF DUE FEES

Effective date: 20230430